DONALD J STATEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020642

License Status

ACTIVE

Business

First Name

DONALD J

Last Name

STATEN

Business Name

DONALD J STATEN

Original Issue Date

07/25/1987

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/16/2024